摘要
目的:探索颈型颈椎病患者经筋异常表现形式,总结其分布规律,为颈型颈椎病针灸临床诊疗方案制定提供依据。方法:纳入120例颈型颈椎病患者,对患者上背部进行经络诊察,记录患者经筋异常表现类型、位置、所归属经筋。结果:①患者点状经筋病变部位共15处,病变频率最高的是肩胛内上角-曲垣穴区(113例,病变频率94.2%),病变频率≥50.0%的共计10处;点状经筋病变以手少阳经筋(349例次)、足太阳经筋(333例次)居多。②患者线状经筋病变部位共10处,病变频率最高的是肩胛内上角-曲垣穴区(77例,病变频率64.2%),病变频率≥50.0%的共计2处;线状经筋病变以足太阳经筋(251例次)为主。③患者面状经筋病变部位共8处,病变频率最高的是肩井穴区(84例,病变频率70.0%),病变频率≥50.0%的共计3处;面状经筋病变以足太阳经筋(260例次)为主。④将点状、线状、面状经筋病变的分布进行综合统计,经筋病变部位共25处,高发区域主要为肩胛内上角-曲垣穴区、肩井穴区、大椎穴区、C_(3)-C_(5)横突、肩胛外缘-小圆肌处;经筋病变主要集中在足太阳经筋、手少阳经筋、手阳明经筋。结论:颈型颈椎病患者经筋病变可分为点状、线状、面状三大类,且以点状经筋病变为主;各性状经筋病变主要集中在足太阳经筋,多于手少阳经筋及手阳明经筋,最常出现在肩胛内上角-曲垣穴区。
Objective To explore the manifestations of jingjin(sinews/fascia)lesions and summarize their distribution rules in the patients with neck-type cervical spondylosis so as to provide the evidences for the development of clinical diagnosis and treatment scheme of acupuncture for cervical spondylosis.Methods A total of 120 patients with neck-type cervical spondylosis were collected.The meridian diagnostic method was used to examine the upper back of each patient,the manifestation category of jingjin lesions,locations and the affected muscle regions of twelve meridians were recorded.Results(1)The punctate lesions of jingjin were detected in 15 regions,and the highest frequency of lesion occurred in the region from the inner upper corner of the scapula to Quyuan(SI 13)(113 cases,94.2%of lesion frequency).The lesion frequency of 10 regions was≥50.0%.The punctate lesions were mainly distributed in the muscle regions of hand-shaoyang(349 cases)and foot-taiyang(333 cases).(2)The linear lesions of jingjin were detected in 10 regions,and the highest frequency of lesion occurred in the region from the inner upper corner of the scapula to Quyuan(SI 13)(77 cases,64.2%of lesion frequency).The lesion frequency of 2 regions was≥50.0%.The linear lesions occurred mainly in the muscle region of foot-taiyang(251 cases).(3)Eight regions were examined to be the planar lesions of jingjin,and the highest frequency of lesion was found in the site of Jianjing(GB 21)(84 cases,70.0%of lesion frequency).The lesion frequency of 3 regions was≥50.0%.The muscle region of foot-taiyang(260 cases)was predominated in the planar lesions.(4)The distribution of all of the punctate,linear and planar lesions of jingjin was analyzed statistically.It was found that 25 regions were involved and those with the high lesion frequency were distributed in the area from the inner upper corner of the scapula to Quyuan(SI 13),the sites of Jianjing(GB 21)and Dazhui(GV 14),transverse processes of C_(3) to C_(5) and the area from the lateral border of the scapula
作者
黄红喜
欧阳希林
钟根平
朱道成
许巍
焦琳
HUANG Hong-xi;OUYANG Xi-lin;ZHONG Gen-ping;ZHU Dao-cheng;XU Wei;JIAO Lin(School of Acupuncture-Moxibustion and Tuina,Jiangxi University of CM,Nanchang 330004,China;Third Department of Acupuncture and Moxibustion,Affiliated Hospital of Jiangxi University of CM,Nanchang 330006)
出处
《中国针灸》
CAS
CSCD
北大核心
2023年第8期881-886,共6页
Chinese Acupuncture & Moxibustion
基金
国家中医药管理局青年岐黄学者培养项目:国中医药人教函[2022]256号
江西省科技厅创新型省份建设专项(重大创新平台)项目:20203CCD41006
江西省中医药重点研究室建设项目:赣中医药科教字[2021]3号
江西省研究生创新专项资金项目:YC2021-S501。
关键词
颈型颈椎病
经筋病变
经络诊察
经筋异常表现形式
分布规律
neck-type cervical spondylosis
jingjin lesions
meridian diagnostic
manifestations of jingjin lesions
distribution rules
